Active NPI
Katherine Pan, P.A.
- Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 020119
- Practice address
- 1470 Madison Ave
New York, NY 10029-6542 - Phone
- (212) 241-6756
- NPI assigned
- Aug 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 020119 | Primary | |
| Medical Physician Assistant | 363AM0700X |
Addresses
Primary practice location
1470 Madison Ave
New York, NY 10029-6542
Mailing address
1 Gustave L Levy PL
New York, NY 10029-6504
Other practice location 1
525 E. 68th Street
Suite #325
New York, NY 10065-4885
Phone (212) 746-7576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5 E 98TH St
Suite 6
New York, NY 10029-6501
Phone (212) 241-4812
5 E 98TH St 12TH Floor
Tisch Department of Mount Sinai
New York, NY 10029-6501
Phone (212) 241-8303
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020119 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Past | Accepting new patients |
Locations
520 E 70th St
New York, NY 10021
Phone (212) 746-0838
520 E 70th St
Ste 341
New York, NY 10021
Phone (212) 746-2087
525 E 68th St
#M
New York, NY 10065
Phone (212) 746-2850
525 E 68th St
Ste 325
New York, NY 10065
Phone (212) 746-7576
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hematology & Oncology Physician
- New York, NY
- NPI 1750649612
-
- Hematology & Oncology Physician
- New York, NY
- NPI 1851600662
-
- Surgery Physician
- New York, NY
- NPI 1134422330
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Hematology & Oncology Physician
- New York, NY
- NPI 1881604866
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1952857765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296542",
"telephone_number": "212-241-6756"
}
],
"practiceLocations": [
{
"address_1": "525 E. 68th Street",
"address_2": "Suite #325",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100654885",
"country_code": "US",
"telephone_number": "212-746-7576",
"fax_number": "212-746-8383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAN",
"first_name": "KATHERINE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": "020119",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.